NPI | 1528439551 |
---|---|
Former Name | OLGA DUBININA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011026) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-10-16 |
Last Update Date | 2024-03-01 |